registration.html

---
layout: page
title: Registration
registration_state: closed
form_api_token: df78d9a2a53a7de18266be5db0b67a7b
email: gapdays2018-fall@gapdays.de
---

{% case page.registration_state %}
{% when 'notyet' %}
<p class="message">Registration will be open starting from the 15th of April, 2017</p>

{% when 'closed' %}
<p class="message">Registration is closed.</p>

{% when 'open' %}
<p class="message">Registration is open.</p>

<p>
You can use this form to register for the {{ site.title }}.
</p>

<p>
If you any questions
regarding registration or in general, feel free to
<a href="mailto:{{page.email}}">contact us via email</a>.
</p>
<form action="https://getsimpleform.com/messages?form_api_token={{page.form_api_token}}" method="post">

<div class="form-field">
  <div class="form-field-title">
    <label for="name">Name <span class="form-field-req">*</span></label>
  </div>
  <input type="text" size="60" maxlength="80" name="name" autofocus required />
  <!-- autofocus with fallback for older browsers -->
  <script>
    if (!("autofocus" in document.createElement("input"))) {
      document.getElementById("q").focus();
    }
  </script>
</div>

<div class="form-field">
  <div class="form-field-title">
    <label for="email">Email <span class="form-field-req">*</span></label>
  </div>
  <input type="email" size="60" maxlength="80" name="email" required />
</div>

<div class="form-field">
  <div class="form-field-title">
    <label for="affiliation">Affiliation</label>
  </div>
  <div class="form-field-description">
    Please enter the name of your home university, institute etc., if any. 
  </div>
  <input type="text" size="60" maxlength="80" name="affiliation" />
</div>

<div class="form-field">
  <div class="form-field-title">
    <label for="arrival_date">Arrival date <span class="form-field-req">*</span></label> 
  </div>
  <div class="form-field-description">
    Please select the day of arrival (we will start Monday 10 am).
  </div>
  <select name="arrival.date" id="arrival_date" required>
    <option value="Sunday 16 Sep" selected="selected">Sunday 16 Sep or before</option>
    <option value="Monday 17 Sep">Monday 17 Sep</option>
    <option value="Tuesday 18 Sep">Tuesday 18 Sep</option>
    <option value="Wednesday 19 Sep">Wednesday 19 Sep</option>
    <option value="Thursday 20 Sep">Thursday 20 Sep</option>
    <option value="Friday 21 Sep">Friday 21 Sep</option>
  </select>
</div>

<div class="form-field">
  <div class="form-field-title">
    <label for="departure_date">Departure date <span class="form-field-req">*</span></label> 
  </div>
  <div class="form-field-description">
    Please select the day of departure (we will finish Friday afternoon).
  </div>
  <select name="departure.date" id="departure_date" required>
    <option value="Monday 17 Sep">Monday 17 Sep</option>
    <option value="Tuesday 18 Sep">Tuesday 18 Sep</option>
    <option value="Wednesday 19 Sep">Wednesday 19 Sep</option>
    <option value="Thursday 20 Sep">Thursday 20 Sep</option>
    <option value="Friday 21 Sep" selected="selected">Friday 21 Sep</option>
    <option value="Saturday 22 Sep">Saturday 22 Sep or later</option>
  </select>
</div>

<div class="form-field">
  <div class="form-field-title">
    <label for="accommodation">Accommodation</label>
  </div>
  <div class="form-field-description">
    We recommend <a href="http://www.cityhotel-siegen.de">Cityhotel Siegen</a>.
    For the participants of the workshop we managed to
    get 15 rooms at the reduced rate of 75 Euros/night.
    The offer is valid until the end of August or until all 15 rooms are booked.
    You will have to book your accommodation yourself. Please
    mention <Q>Gap Days 2018</Q> to get the reduced rate.
  </div>
<!-- 
  <input type="text" size="60" maxlength="180" name="accommodation" />
 -->
</div>

<div class="form-field">
  <div class="form-field-title">
    <label for="presentation">Comments</label>
  </div>
  <div class="form-field-description">
    Here you any comments, questions or wishes
    regarding the workshop. For example, you might like to give a
    talk, then please provide the title of your talk in the comments.
    Or maybe you would like to hear a talk about a specific GAP-related topic,
    then please add your suggestion as a comment.
    We will do our best to take all requests into account, but cannot
    promise anything further at the moment.
  </div>
  <textarea name="comments" rows="10" cols="60"></textarea>
</div>

<input type='hidden' name='redirect_to' value='{{ site.url }}{{ site.baseurl }}/thank-you' />

<div class="form-field">
  <input type="submit" value="Register!" />
</div>

</form>
{% endcase %}